Provider Demographics
NPI:1255306486
Name:CAMPBELL, ANDREW FOIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:FOIL
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N MONTCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-5409
Mailing Address - Country:US
Mailing Address - Phone:214-543-1145
Mailing Address - Fax:
Practice Address - Street 1:302 N MONTCLAIR AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5409
Practice Address - Country:US
Practice Address - Phone:214-543-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG12842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128257601Medicaid
TX00GC45Medicare ID - Type Unspecified